Organization
HALO GALA HAIR CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIIKA SMALL SMALL (PRESIDENT)
(757) 303-9462
Entity
Organization
Contact information
Practice address
56 RANDOLPH RD, NEWPORT NEWS, VA 23601-4233
(757) 303-9462
Mailing address
56 RANDOLPH RD, NEWPORT NEWS, VA 23601-4233
(757) 303-9462
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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